Paeds

Question 1

kid with petechial rash, low RBC, raised WBC, limp

Answer 1

ALL

Question 2

foreign kid comes in, excessive drooling, behind of vaccinations

Answer 2

epiglottitis

Question 3

kid with croups, given dexamethasone 12hrs ago but still mild stridor. Tx?

Answer 3

repeat steroids

Question 4

kid with anal itch, Tx

Answer 4

mebendazole cream

Question 5

4w old kid, yellow and grey stools

first inv

Answer 5

check conjugated billirubin levels

Question 6

bouts of crying when kid flexes knees and hips

sausage shaped mass

Answer 6

intersussception

Question 7

hungry kid but problems feeding, hypotonia, almond eyes

Answer 7

prader willi

Question 8

kid with low platelets, normal RBC and normal WCC

Answer 8

ITP

Question 9

neonate with systolic murmer loudest at left sternal edge

Answer 9

VSD

Question 10

rough sandpaper rash on arms/trunk, flushed face

Answer 10

scarlet fever

Question 11

kid with sickle cell had 0 reticulocytes - cause

Answer 11

parvovirus

Question 12

headache, fever, parotid swelling

raised amylase

Answer 12

mumps
notify HPU - isolate for 5 days following parotid swelling
supportive tx

Question 13

fever, conjunctivitis, maculopapular rash on face/neck then hands/feet, mouth = white spots surrounded by red ring

Answer 13

measles - notify HPU
supporting tx
vaccinate close contacts and offer vac after acute episode
safety net for encephalitis + SSPE

Question 14

headache, no fever,
pink maculopapular rash starts on face then -> whole body
lymphadenopathy
red spots on soft palette

Answer 14

Rubella (german weasels)
notify HPU
safety net for haemorrhage complications due to thrombocytopenia

Question 15

red ‘slapped cheek’ rash on face then 1w later, maculopapular rash on face/trunk (‘lace pattern”)
preceeded by coryzal disease

Answer 15

parvovirus B19

no need to stay off school

Question 16

crops of itchy vesicles on face/neck/trunk

vesicles in diff stages (some papule, some vesicles, some crusted over already)

Answer 16

chicken pox 
supportive tx (no ibuprofen), keep off school till

Question 17

painful itchy vesicles on hand/foot/mouth

fever, sore throat, spots in mouth that develop into ulcers

Answer 17

hand, foot and mouth disease (coxsackie A16)

supportive Tx

Question 18

high fever and malaise -> small pink spots rash that starts on neck/body and spreads to arms
no kopek spots

Answer 18

roseala infantum (HHV8)
stay off school, safety net for inc risk febrile convulsions

Question 19

stridor in kid, drooling, tripod position, rapid onset

Answer 19

acute epiglottis

Question 20

kid with bloody stools and reduced feeding, xray = dilated bowel loops and bowel wall oedema, intramural gas

Answer 20

Nec

Question 21

treatment for kawasaki’s

Answer 21

IVIG (gamma globulin)

Question 22

A swelling on a neonate’s head that does not cross suture lines and will self-resolve over several weeks

Answer 22

Cephalohaematoma

Question 23

A transient swelling particular to babies delivered using a Ventouse

Answer 23

Chignon

Question 24

A rare but dangerous complication that causes a diffusely boggy scalp on examination

Answer 24

Subaponeurotic haemorrhage

Question 25

Oedema and bruising of the skull that crosses suture lines and will dissipate in a few days

Answer 25

Caput succedaneum

Question 26

EEG shows 3 spike wave per second bilaterally

Answer 26

childhood absence epilepsy